Provider Demographics
NPI:1821636457
Name:OCALA CLINIC CORP.
Entity Type:Organization
Organization Name:OCALA CLINIC CORP.
Other - Org Name:WALKIN CLINIC AT LARA MEDICAL CORP.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-861-0043
Mailing Address - Street 1:8599 SW HIGHWAY 200 UNIT B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-7729
Mailing Address - Country:US
Mailing Address - Phone:352-861-0043
Mailing Address - Fax:866-514-1066
Practice Address - Street 1:8599 SW HIGHWAY 200 UNIT B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-7729
Practice Address - Country:US
Practice Address - Phone:352-895-0417
Practice Address - Fax:866-514-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care